Individual
TANEISHA RENIA ALLEN MAEWEATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
7558 BANKS ST APT 2, JUSTICE, IL 60458-1673
(708) 980-4994
Mailing address
7558 BANKS ST APT 2, JUSTICE, IL 60458-1673
(708) 980-4994
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
041467123
IL
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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